(FCPs) Kathryn Ker Advanced Physio St Pauls PCN Cheltenham - PowerPoint PPT Presentation

APP’s in Primary Care (FCPs) Kathryn Ker Advanced Physio St Pauls PCN – Cheltenham #GlosPCTH

- WHO WE ARE. - WHAT WE DO. - WHERE DO THEY COME FROM? - WHERE DO THEY GO?

OUR TEAM

MSK Triage phonecalls 20 minute appointments: assessment, diagnosis, WHAT WE DO: explanation, investigations, initial treatment and self- management advice, onward referral. A DAY IN THE Registering patients for University of Keele Qualitative FCP Study (Finished Jan) LIFE OF AN FCP Completing National Standardised Data Template for each patient Completing Outcome Data for each patient

WHAT WE DO: PATIENT TRIAGE • Patient calls GP practice • Speaks to a care navigator, who refers to the flowchart • If they meet criteria offered a same day appointment with APP. • Patient added to triage list for ANP or GP. • Triage clinicians uses flowchart. If fits criteria books appointment for patient with APP • Patient calls GP practice. • Booked GP appt for MSK problem • GP sees patient and books them APP appt and/or orders investigation and/or advises them to come back to GP for follow-up

WHERE DO OUR PATIENTS COME FROM? 25 From GP (face to face) From GP (triaged/phone call) 20 From admin Other route (nurse triage, other 15 clinician) 10 5 0 Dec Nov Dec Nov Dec Nov Dec Nov Dec Nov St Catherines Portland Corinthian St Georges Royal Well

WHERE DO OUR PATIENTS GO? In 2019 Fit note: 11% 2985 patients seen 497.5 Dec 2019 GP hours saved self management advice X-ray 4% advised self-ref to physio request meds from GP follow up: injection FU telephone (12%) or follow up: telephone injection (4%) Xray referral to physio Bloods FCP Injection 7% urgent referral to secondary care referral to APS referral to podiatry FCP Prescribed 19% referral to community wellbeing ref back to GP as non-MSK Fit Note Self Management: 83% falls referral to rheum/EIA/Pain

WHERE DO OUR PATIENTS GO? (A MONTH AT A GLANCE) Physiotherapy -Cheltenham General Physio 13% (GHFT self referral and FCP referral total) Hospital Referrals Community Referrals: - MSKAPS: 2% - Physiotherapy - Falls 1% - Podiatry - Rheum 2% - Social Prescriber - Emergency referrals 1% - Exercise referral/reactivate - Pain Clinic - Slimming world - Pain Self-management - Lets Talk - Complex care services - Drug and Alcohol Services

THANK YOU.